Any healers, helpers or therapies with which you are involved? Please list:

What role do sports and exercise play in your life?

Breakfast:

What foods did you like as a child?

Lunch:

What foods did you like as a child?

Dinner:

What foods did you like as a child?

Snacks:

What foods did you like as a child?

Liquids:

What foods did you like as a child?

Breakfast:

What is your food like these days?

Lunch:

What is your food like these days?

Dinner:

What is your food like these days?

Snacks:

What is your food like these days?

Liquids:

What is your food like these days?

Will family and/or friends be supportive of your desire to make food and/or lifestyle changes?

Do you cook?

What percentage of your food is home-cooked?

Where do you get the rest from?

Do you crave sugar, coffee, cigarettes, or have any major addictions?

The most important thing I should do to improve my health is:

Anything else you would like to share?

Thank you!

By reading my coaching website, participating in any of my programs, and any associated email series, you acknowledge that I am not a licensed psychologist, therapist, or health care professional and my services do not replace the care of psychologists, therapists, or other healthcare professionals. Coaching is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice.